Name:  

Home Phone:            Work Phone:

E-mail address        

Social Security Number:           Married: Yes No     

Date of Birth: Month:           Day:           Year:        

Current Address:        

City State:                      

Zip Code                     Status: Rent Own

Length of time at current address: Years         Months

Previous Address: (Complete only if you lived at current address for less than two years:

Current Address:

City State 

Zip Code:         Status: Rent Own

Employer:       

Position:

Length of time with current employer:         Years in occupation:

Self Employed: Yes No

Co-Applicant: (Complete the following only if there will be a co-applicant and ONLY if the co-applicant is married to the applicant. If the co-applicant is not married to the applicant, please complete a separate 2-Minute Loan Application)

Name:  

Home Phone:           Work Phone:

Social Security Number:          Married: Yes No

Date of Birth: Month:    Day:             Year:          

Current Address:

City State:  

Zip Code:          Status: Rent Own

Length of time at current address: Years Months

Previous Address: (Complete only if you lived at current address for less than two years:

Current Address:

City State  Zip Code:         

Status: Rent Own

Employer:

Position:

Length of time with current employer: Years in occupation:

Self Employed: Yes No

The following applies to both borrower & co-borrower

Monthly Income Salaried

Applicant Co-Applicant

Monthly Overtime (2 year average):

Applicant Co-Applicant

Yearly Bonuses / Commission (2 year average):

Applicant Co-Applicant

Yearly reported Dividend / Interest from funds not being used in this purchase:

 Applicant Co-Applicant

Self employment income (yearly average last two years - use only reported bottom line Schedule C income)

Applicant Co-Applicant

Other Income (please explain)

Bank accounts and investments (combine accounts and borrowers for each category)

Checking & Savings:

Stocks & Bonds:

CD / IRA:

401K or similar account (vested interest)

Gift:

Proceeds from sale of home:

Debts - Minimum Monthly Payments - Borrower & Co-Borrower

Charge Cards:      Auto Loans:

Student Loans: (required minimum payments even if currently deferred)

Other Loans:   Alimony / Child Support:

Number of other properties owned after purchase:

Total monthly payment including taxes and insurance:

Monthly income from rental properties:

Current rent or mortgage payment including taxes and insurance:

General Information: Must be completed

Any derogatory information on credit report: 

Applicant:                      No Yes    Co-Applicant:                       No Yes

Have you ever filed for bankruptcy: 

Applicant:                       No Yes    Co-Applicant:                       No Yes

Have you ever had a home foreclosed on: 

Applicant:                       No Yes    Co-Applicant:                       No Yes

Will any of the down payment be borrowed: 

Applicant:                       No Yes    Co-Applicant:                       No Yes

Will this property be owner occupied: 

Applicant:                       No Yes    Co-Applicant:                       No Yes

I am looking to buy: Single Family Home Condo or Town Home Investment Property Second or Vacation Home

General Price Range:              to            

Planned Down Payment:        

AUTHORIZATION

Verification or re-verification of any of the information provided above, including a complete credit profile, may be obtained at any time by CFC Mortgage, or its agents. This information may be obtained either directly, or through a credit reporting agency and the original of this report will be retained by CFC Mortgage even if the response to the pre-qualification is unfavorable. By clicking the SUBMIT button below I / We certify that the information provided on the form is true and accurate to the best of our knowledge as of this date:

Enter Applicant Name:        

Enter Co-Applicant Name:

Notice: By clicking the Submit button below the above form will be sent directly to CFC Mortgage. The information provided will not be disclosed to the real estate agent or the real estate company. No information will be sold, shared or given to any other organization. Upon receipt, CFC Mortgage will contact you by phone or e-mail before proceeding. The privacy notice of this web site applies to this form and all information derived by the pre-qualification process.